| NPI | 1871257063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE K KUHNS License Clinical Social Worker 239-410-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |